Clinical Case Manager

Apply for the Clinical Case Manager (Polish Speaker) role at Further GroupFurther Group is a fast‑growing and dynamic company at the forefront of innovation, leveraging cutting‑edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions.Our company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us as Clinical Case Manager (Polish Speaker).We are looking for a Clinical Case Manager , with an empathic, can‑do attitude who is passionate about service delivery and eager to make an impact on people’s lives at the most vulnerable moment for them – through the pathway запуска of a critical illness. This role will constantly enhance the quality of the patient’s journey and deliver a umaan star customer experience at each interaction.The ideal candidate has experience in customer operations within the sector of health insurance or second medical opinion. The Clinical Case Manager will assess, plan, implement, monitor, and evaluate actions required to provide the best remote support to the patient prior, during and after the treatment. The successful candidate will be accountable for the full customer care cycle.As our Clinical Case Manager (Polish Speaker), you’ll get to:Provide support to incoming cases and confirm policy, as well as medical eligibility according to internal processCoordinate and provide access to the best specialists and health‑care providers in a timely and effective mannerSupport the insured member to understand the products, process, and clinical journeyInteract directly with Customers and Families along the customer journey for intake interviews and others, keeping track of their progress and ensuring satisfactionProvide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standardsOrganize internally with Medical Panel and externally with Medical Providers to establish a clear pathway for treatment recommendation and consequent servicesReview medical reports and treatment plans and control medical costs triggering the appropriate level of authorizationsHandle assigned cases, draft service plans, review case progress and determine case closureHelp insured members make informed decisions by acting as their advocate regarding their clinical status and treatment optionsDevelop effective working relations and cooperate with internal teams and colleagues, especially the medical team throughout the entire case management processCollaborate and coordinate with international TPA’s wherever and whenever applicableUse the clinical background and knowledge to provide guidance and support to claims coordinators and other colleaguesParticipate in clinical case discussions as needed and support the medical panelMaintain all case records completed and up‑to‑date within internal systems (i.e., record case information, complete accurately all necessary forms, قلم reports…)Adhere to professional standards as outlined by protocols, rules, and regulationsWe’d love to meet someone who:A university or college undergraduate degree (Medical or Nursing)3–5 years of professional experience in a similar role, ideally from an international health/insurance‑oriented business is a plusUnderstanding of the customer operations or patients’ care processesExcellent verbal and written değer communcation skills in English and Polish; any other language will be considered an assetStrong interpersonal skills, empatheticHigh attention to detail, organized and structured mindExperience in problem resolutionAbility to multi‑task, organize and prioritize workWhat we’re offering: Are you looking for a new challenge in your career? Do you want to join a growing, dynamic and engaged international company with perspective for sistemic growth? If so, we have the perfect opportunity for youWe are looking for talented professionals who want to work in a hybrid working model , where you can enjoy the best of both worlds: three days in the office and two days at home. You will also benefit from the competitive compensation package that rewards your performance and skills.As part of our team, you will collaborate with colleagues from different countries and backgrounds , sharing your expertise and learning from mezclas. You will work in a modern, open‑plan office in a beautiful building in central Madrid, close to transport hubs. And you will have access to complementary fruit, tea and coffee to keep you energized throughout the day.If this sounds like the ideal job for you, don’t hesitate to apply now We are looking forward to hearing from you.We believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital or disability status.#J-18808-Ljbffr